Deficiencies per Year
4
3
2
1
0
Unclassified
Notice
Deficiencies: 0
Nov 19, 2025
Visit Reason
This document serves to inform individuals about the privacy practices of NJDHSS, including how their medical information may be used and disclosed, and their rights related to this information.
Findings
The notice explains the types of information covered, reasons for use and disclosure of health information, individuals' rights to access and control their information, and the legal duties of NJDHSS to protect privacy.
Report Facts
Effective date: 2011
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Devon L. Graf | Director, Office of Legal and Regulatory Compliance | Listed as NJDHSS Privacy Officer contact for questions about the notice |
Inspection Report
Original Licensing
Capacity: 74
Deficiencies: 4
Sep 12, 2023
Visit Reason
Initial inspection of a new construction assisted living facility with 67 residential units and 74 licensed beds, including a Memory Care Unit and all common areas.
Findings
The facility was found not in substantial compliance with New Jersey Administrative Code standards for assisted living residences. Deficiencies included failure to provide elevator emergency communications for one of two elevators, lack of fire sprinkler coverage in multiple electrical closets, failure to provide small refrigerators in 3 of 67 residential units, and absence of a Class K-Type fire extinguisher in the main kitchen.
Deficiencies (4)
| Description |
|---|
| Failed to provide elevator emergency communications for 1 of 2 elevators tested, lacking pre-recorded message to identify elevator and location. |
| Failed to provide proper fire sprinkler coverage in multiple electrical closets on 1st, 2nd, and 3rd floors. |
| Failed to provide a small refrigerator inside 3 of 67 residential units (#319, #322, #321). |
| Failed to provide a Class K-Type wet chemical portable fire extinguisher in the main kitchen. |
Report Facts
Licensed beds: 74
Residential units: 67
Residential units without refrigerator: 3
Elevators tested: 2
Elevators with deficient emergency communication: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Present during survey entrance and facility layout discussions. | |
| Regional Building Services Director (RBSD) | Present during tours, confirmed deficiencies, and informed of findings. | |
| Maintenance Director (MD) | Present during tours, confirmed deficiencies, and informed of findings. | |
| Monitoring Operator #1728 | Responded to elevator emergency phone test and confirmed lack of location identification. |
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